Quiz Questions

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Quiz Questions

• What are the categories of DSM sexual disorders?
• Sexual dysfunciton
• Paraphilia
• Gender identity disoder
• a and b
• 2. Which is NOT in the DSM?
• Gender identity disorder
• Pedophilia
• Homosexuality
• Frotteurism

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More Quiz Questions

• 3. Which is characterized by rubbing against a
  nonconsenting person?
• a. exhibitionism
• b. voyeurism
• c. sexual masochism
• d. frotteurism
• 4. What is male orgasmic disorder?
• ejaculation w/ minimal sexual contact
• delayed or absent orgasm
• either a or b

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Last Quiz Questions

• Which involves being humiliated, beaten, bound,
  etc.?
• exhibitionism
• frotteurism
• masochism
• voyeurism

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Paraphilias

• Recurrent, intense sexually arousing fantasies,
  urges, or behaviors involving nonhumans,
  suffering of self or partner, children. (For
  some these are necessary for erotic arousal
  always inc. in sexual activity for other these
  occur episodically.)

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Types of Paraphilias

• Exhibitionism - exposing genitals to
  (unsuspecting) stranger(s), most common sex crime
  in U.S., rare outside, involves shock risk,
  often distant from victim, needs to display
  masculinity w/o having to perform

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Other Paraphilias

• Voyeurism - illegal, secretive nature is
  arousing, most dont ever commit more serious sex
  crimes (but Bundy did)
• Fetishism - involving (nonliving) objects,
  depression, anxiety, loneliness

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More Types of Paraphilias

• Sexual sadism - involves psychological or
  physical suffering
• Sexual masochism - involves act (real, not
  simulated) of being humiliated, beaten, bound,
  otherwise made to suffer

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More on Paraphilias

• Transvestic fetishism - cross-dressing for sexual
  arousal in heterosexual male (for over 6 mo.)
• Frotteurism - rubbing against nonconsenter

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Pedophilia

• Molestation of prepubescent child, most heavily
  punished paraphilia
• Most conflicted re sexuality vs. religion
• Feel guilty, doomed
• Lack confidence, uneasy in social sexual
  situations w/ adults

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Etiology of Paraphilias

• Over 90 committed by males
• Classical conditioning - pairing of stimulus w/
  sexual arousal
• Social learning - hx of inappropriate sexual
  aggressive experiences, poor social skills,
  hostility toward women

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Tx of Paraphilias

• Most research done on sex offenders (atypical
  group)
• Cognitive-behavioral tx predominates
• Aversion tx - harmless shock
• Empathy training - inc. role reversal
• Desensitization social skills trg. - unlearn
  anxiety approach more appropriate partners ( in
  appropriate manner)

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Gender Identity Disorder

• Strong, persistent identification w/ other sex
• Persistent discomfort w/ sex, inappropriateness
  in gender role
• R/O physical intersex condition
• As child
• Cross dressing
• Cross sex roles
• Played w/ other sex
• Insisting is other sex

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Sexual Response Cycle

• Desire - inc. fantasies
• Excitement - subjective pleasure, physiological
  changes
• Orgasm - peaking of pleasure, ejaculation or
  vaginal wall contractions
• Resolution - differs for sexes, refractory period
• Sexual Dysfunctions at any of first 3

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Sexual Desire Disorders

• Most common sexual dysfunction, may be on rise,
  others may be secondary (Kaplan)
• Hypoactive Sexual Desire Disorder - little or no
  interest in sex (for age, etc.)
• Sexual Aversion Disorder - disgust, fear,
  revulsion to one of all aspects of sex, often
  result of sexual abuse, assault

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Sexual Arousal Disorders

• Female Sexual Arousal Disorder - persistent,
  recurrent inability to attain or maintain
  lubrication-swelling responsee
• Male Erectile Disorder (impotence) - recurrent
  inability to attain or maintain erection til end
  of activity, may be secondary to alcohol,
  diabetes, distinguish from occasional problem in
  gaining or sustaining erection

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Orgasmic Disorders

• Female Orgasmic Disorder - no orgasm when
  stimulation adequate, 1 in 4 have difficulty
  reaching orgasm
• Premature Ejaculation
• Retarded Ejaculation - usually no orgasm w/
  partner, only masturbation

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Sexual Pain Disorders

• Dyspareunia - genital pain upon intercourse, rare
  in men, can be from vaginal dryness,
  antihistamines, injury or irritation
• Vaginismus - involuntary contraction of muscles
  of outer third of vagina (5-17 of women)

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Sexual Dysfunction Tx (Masters Johnson)

• Sensate focus is tx of choice for impaired
  excitement in females, erectile dysfunction in
  males
• Pleasuring
• Genital stimulation
• Nondemand intercourse (no pressure for orgasm)
• Female orgasmic disorder treated w/ masturbation
  homework
• Squeeze technique for premature ejaculation